Clinical Study Of Xiefei Lishui Method Combined With Cardiac Rehabilitation Exercise In The Treatment Of Patients With Coronary Heart Disease And Chronic Heart Failure

Background:Chronic Heart Failure(CHF)incidence is high,and long-term prognosis is poor.The proportion of CHFcaused byCoronary Heart Disease(CHD)is on the rise.With the progress and development of medical technology,the survival time of patients with CHD and CHF is prolonged,but the quality of life in these patients is not high.Most patients with CHF will experience events such as the decline of quality of life and repeated hospitalization,which seriously affect their physical and mental health.Traditional Chinese Medicine(TCM)has certain advantages in the treatment of CHD and CHF,especially in improving the quality of life of these patients.In clinical practice,Xiefei Lishui method has good clinical efficacy.A number of clinical observation studies suggested that the Xiefei Lishui method could reduce the clinical symptoms and improve the long-term prognosis and the quality of life of patients with CHF.The purpose of this study is to explore the effect of Xiefei Lishui method combined with cardiac rehabilitation in the CHD and CHF patients,in order to provide the evidence for the popularization and application of Xiefei Lishui method in the field of cardiac rehabilitation.OBJECTIVE:To explore the effect of the Xiefei Lishui method combined with cardiac rehabilitation in the patients with CHD and CHF.METHODS:From May 2019 to May 2020,66 patients with CHD and CHF diagnosed and treated in Fangshan Hospital of Beijing University of Chinese Medicine were randomly divided into the rehabilitation group and the control group(34 people in the rehabilitation group and 32 people in the control group).The control group was treated with western medicine alone,and the rehabilitation group was treated with Buqi Xiefei Lishui decoction combined with cardiac rehabilitation on the basis of the control group.The N-terminal pro brain natriuretic peptide(NT-proBNP),NYHA cardiac function grade,left ventricular ejection fraction(LVEF),left ventricular end-diastolic dimension(LVEDD),left ventricular end-systolic dimension(LVESD),SF-36 quality of life score,6-minute walk test(6MWT),Seattle angina pectoris scale and TCM syndrome score were analyzed after 4 weeks of treatment in the two groups.RESULTS:After 4 weeks of treatment,NT-proBNP in the two groups decreased significantly(P<0.05),and the rehabilitation group was better than the control group in reducing NT-pro BNP(P<0.05);The NYHA cardiac function grade of the two groups was significantly improved compared with that before treatment(P<0.05),and the rehabilitation group was better than that of the control group(P<0.05);LVEF in the two groups after treatment was significantly higher than that before treatment(P<0.05),and the rehabilitation group was better than that in the control group(P<0.05);LVEDD in the rehabilitation group decreased significantly after treatment,but not in the control group,suggesting that the rehabilitation group is better than the control group in reducing LVEDD;After treatment,LVESD in the two groups decreased significantly compared with that before treatment(P<0.05),and the rehabilitation group was better than that in the control group(P<0.05);The scores of 6MWT and SF-36 quality of life in the two groups were significantly higher than those before treatment(P<0.05),and the rehabilitation group was significantly higher than that in the control group(P<0.05);Seattle Angina score:the scores of patients in the rehabilitation group in the five dimensions of restricted physical activity,stable angina pectoris,angina pectoris attack frequency,treatment satisfaction and disease cognition were significantly higher than those before treatment(P<0.05).The scores of patients in the control group in restricted physical activity,stable angina pectoris,angina pectoris attack frequency scores in the four dimensions of disease awareness were significantly higher than those before treatment(P<0.05),but there was no significant difference in the score of treatment satisfaction before and after treatment(P>0.05);In the comparison between groups,the curative effects of the rehabilitation group were better than those of the control group in five dimensions(P<0.05);After treatment,the TCM syndrome score of the two groups decreased significantly(P<0.05),and the rehabilitation group was better than that in the control group(P<0.05).Conclusion:The method of Xiefei Lishui combined with cardiac rehabilitation can promote cardiac rehabilitation,and effectively improve the cardiac function and the quality of life of patients with CHD and CHF.It may be used as a first-line treatment in the future,but it still needs to be confirmed by large-scale clinical trials.